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This volume deals with macro-level system issues and micro-level issues involving provision of health care as related to major health problems or population health concerts. It examines social, demographic and structural problems, and a wide variety of major health problems including chronic illnesses, mental illness, serious acute health problems, and disabilities that require health care. Some of the specific health problems covered include major chronic health problems such as coronary heart diseases and arthritis, as well as HIV/AIDS and other sexually transmitted diseases, obesity and how to deal with obesity, mental health concerns, poverty, homelessness and health care problems with a focus on urban contexts within the United States. The volume includes a focus on the perspectives of patients, providers, and also the relevant links with healthy policy.
Focuses on differences in health and health care as linked to important social factors. This title includes six articles looking at racial disparities on a variety of topics such as: knowledge of hepatitis C Virus; health services received and patients' experiences in seeking health care; use of CAM services; and, more.
The 30th Anniversary volume of Research in the Sociology of Health Care looks at the important links between major social factors and health and health care. The four main factors examined in the book are race/ethnicity, immigration, Socioeconomic Status (SES) and gender. Starting with an introductory chapter which reviews some of the important sociological literature on these social factors as linked to health, the book goes on to cover various key issues, including obesity, ageing, immigration and racial segregation.
This volume in the highly-regarded Research in the Sociology of Health Care series, deals with both macro-level system issues and micro-level issues involving access to care, factors that impact access, patients as partners in care and changing roles of health providers. It includes: • examination of factors that impact access to care such as racial/ethnic, social, demographic and structural sources, • discussion of changing patterns of care and changing patterns of interaction between patients and providers of care, • and investigation of changing roles of health care providers within the health care delivery system. Key contributions focus on linkages to policy, population concerns and patients and/or providers of care as ways to meet health care needs of people both in the US and in other countries. This volume relates to issues of consumers of health care services, providers of such services and policy perspectives. It also raises issues of the availability of services, access to those services, quality of services and the role of government in services provision.
People have always travelled within Europe for work and leisure, although never before with the current intensity. Now, however, they are travelling for many other reasons, including the quest for key services such as health care. Whatever the reason for travelling, one question they ask is "If I fall ill, will the health care I receive be of a high standard?". This book examines, for the first time, the systems that have been put in place in all of the European Union's 27 Member States. The picture it paints is mixed. Some have well developed systems, setting standards based on the best available evidence, monitoring the care provided, and taking action where it falls short. Others need to overcome significant obstacles.
Second in a series of publications from the Institute of Medicine's Quality of Health Care in America project Today's health care providers have more research findings and more technology available to them than ever before. Yet recent reports have raised serious doubts about the quality of health care in America. Crossing the Quality Chasm makes an urgent call for fundamental change to close the quality gap. This book recommends a sweeping redesign of the American health care system and provides overarching principles for specific direction for policymakers, health care leaders, clinicians, regulators, purchasers, and others. In this comprehensive volume the committee offers: A set of performance expectations for the 21st century health care system. A set of 10 new rules to guide patient-clinician relationships. A suggested organizing framework to better align the incentives inherent in payment and accountability with improvements in quality. Key steps to promote evidence-based practice and strengthen clinical information systems. Analyzing health care organizations as complex systems, Crossing the Quality Chasm also documents the causes of the quality gap, identifies current practices that impede quality care, and explores how systems approaches can be used to implement change.
Improving our nation's healthcare system is a challenge which, because of its scale and complexity, requires a creative approach and input from many different fields of expertise. Lessons from engineering have the potential to improve both the efficiency and quality of healthcare delivery. The fundamental notion of a high-performing healthcare system--one that increasingly is more effective, more efficient, safer, and higher quality--is rooted in continuous improvement principles that medicine shares with engineering. As part of its Learning Health System series of workshops, the Institute of Medicine's Roundtable on Value and Science-Driven Health Care and the National Academy of Engineering, hosted a workshop on lessons from systems and operations engineering that could be applied to health care. Building on previous work done in this area the workshop convened leading engineering practitioners, health professionals, and scholars to explore how the field might learn from and apply systems engineering principles in the design of a learning healthcare system. Engineering a Learning Healthcare System: A Look at the Future: Workshop Summary focuses on current major healthcare system challenges and what the field of engineering has to offer in the redesign of the system toward a learning healthcare system.

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